ERA23LA141

NTSB accident investigation · Cessna 172M · Miami, FL · March 7, 2023

Accident · No injuriesClass 3 · LimitedFinal report
Date
March 7, 2023, 17:22 local (22:22 UTC)
Place
Miami, FL · In the Everglades National Park 13 SW of TMB - Restricted Area
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Maneuvering
Aircraft
N64535Cessna 172M
Defining event
Maneuvering: Loss of engine power (total)
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Eastern Region Aviation
Parties
FAA/FSDO
FAA report
20230307008399A
Case key
106844

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the accident.

On this page

Probable cause

A total loss of engine power due to a lack of oil lubrication.

Findings · 2

NTSB’s coded findings. Those marked are part of the probable cause; the rest are factors or other findings. Under each, the cases with the same finding.

Engine (reciprocating)Aircraft › Aircraft power plant · FailureCessna 172M: 4 casesAll aircraft: 497 casesProbable cause
Fluids: oilAircraft › Fluids/misc hardware · Fluid levelCessna 172M: 3 casesAll aircraft: 174 casesProbable cause

Sequence of events

The events NTSB coded, in order, by phase of flight. The defining event is the one that best describes the accident. Under each, the cases with the same event anywhere in their sequence.

Analysis

The flight instructor was conducting an instructional flight when the engine began to make a “knocking” noise, followed by a total loss of oil pressure and subsequent loss of engine power. The instructor reported they were unable to return to the airport and made a forced landing to a marsh area. The nose wheel of the airplane dug into the soft/wet terrain and the airplane slowly flipped over, resulting in substantial damage to an engine mount. Postaccident examination of the airplane revealed there were no major oil streaks on the lower engine cowling and fuselage; however, there was some dark oily residue noted on the right underbelly of the airplane that appeared to have been there for an extended period of time. The engine did not seize and crankshaft rotated freely when the propeller was manually rotated. Examination of the engine’s oil system revealed no obvious mechanical failures; however, damage signatures were observed that were consistent with a lack of lubrication. The instructor said they departed for the flight with 6 quarts of oil; however, about one quart of dark oil was drained from the engine following the accident. Pieces of metal were found throughout the oil system consistent with high heat, friction, and metal-to-metal contact within the engine. A review of the engine maintenance records revealed the engine was 55 hours past its last 100-hr inspection. Based on the instructor’s report that the engine was “knocking,” followed by a loss of oil pressure and a power loss, and evidence of high heat, friction, and metal-to-metal contact within the engine with no sign of leaks in the oil system, the engine was likely being operated with an inadequate oil level at the time of the power loss. Though the engine did not fully seize, the damage found throughout the engine most likely contributed to a loss of engine power.

Factual narrative

On March 7, 2023, about 1722 eastern standard time, a Cessna 172, N64535, was substantially damaged when it was involved in an accident near Miami, Florida. The flight instructor and the private pilot were not injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 instructional flight. The flight instructor said that, about 30 to 40 minutes into the flight, the engine began to make a “knocking” noise followed by a total loss of oil pressure. The engine then stopped producing power and the propeller “locked up.” The instructor said they were unable to return to the airport and made a forced landing in the Everglades National Park. The nose wheel of the airplane dug into the soft/wet terrain and slowly flipped over, resulting in substantial damage to an engine mount. The airplane was recovered from the Everglades about seven days after the accident and taken to a secure facility. Examination of the airplane revealed there were no major oil streaks on the lower engine cowling and fuselage; however, there was some dark oily residue noted on the right underbelly of the airplane that appeared to have been there for an extended amount of time. The engine was not seized and the crankshaft rotated freely when the propeller was manually rotated. When the propeller was rotated, valvetrain continuity and thumb compression were observed on each cylinder. Examination of the engine’s oil system revealed no obvious mechanical failures; however, damage was observed that was consistent high heat and friction due to a lack of lubrication. The flight instructor said that there were six quarts of oil on the airplane before they departed; however, about one quart of dark-colored oil was drained from the oil sump after the accident. The oil suction screen was removed and several pieces of metallic debris were observed. The filter was also removed and was filled with dark-colored oil. The element was removed and small flecks of carbon were observed. The oil pump was removed and all gearing was intact. The oil sump was partially exposed when the accessory gear box was removed and several large pieces of metal debris were observed. The oil filter tube was found slightly loose but was being held in place by safety-wire. Some oil was observed on the engine case around and below where the tube connected to the engine case. Review of the engine maintenance records revealed the last 100-hour inspection was completed on December 20, 2022, at an engine total time of 1,124 hours. At the time of the accident the engine had accrued 1,279 hours, which was 55 hours past its next required 100-hr inspection.

Aircraft

Registration
N64535
Reported as
Cessna 172M
Category
Airplane
Serial number
17265291
Built
1975
Airframe hours
1,124
Engine
Lycoming O-320-E2D, 150 horsepower, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Registered owner
Panair Flying Club Inc
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · December 20, 2022
Departed
Miami, FL
Equipment
Electronic multifunction display, Satellite tracking device, Onboard weather, Electronic primary flight display, Stall warning system, ADS-B, Auto-pilot

Matched to the registry by N-number and the event date; the registry’s history has gaps, so older matches can be wrong. Compare the reported make and model.

Flight crew · 2

As NTSB recorded them. NTSB leaves out names.

Role
Flight instructor
Age
66
Injuries
None
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 2, With waivers/limitations
Seat
Right
Flight hours
7,306 total · 4,518 in this make and model · 7,248 as pilot in command · 30 in the last 90 days · 5 in the last 30 days · 2 in the last 24 hours
Role
Student pilot
Age
28
Injuries
None
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 1
Seat
Left
Flight hours
216 total · 216 in this make and model · 180 as pilot in command · 5 in the last 90 days · 4 in the last 30 days · 0 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
100° at 9 knots
Visibility
10 statute miles
Temperature
81 °F, dew point 70 °F
Altimeter
29.98 inHg
Observed at
KTMB
METAR
METAR KTMB 072253Z 10009KT 10SM FEW090 27/21 A2998

Docket · 6

The files NTSB released with the investigation on May 2, 2024, on NTSB’s docket system: statements, records, photos and specialists’ reports. 10.1 MB in all.

FAA reports on this event · 1

The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.